EZZA MELINA AHMAD MUSTAFFA
NPI 1669029542
Counselor - Professional in Chicago, IL
About Ezza Melina Ahmad Mustaffa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EZZA MELINA AHMAD MUSTAFFA (NPI 1669029542) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.015151) and active in the NPI registry since August 2019. She has opted out of Medicare through January 2, 2028.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ezza Melina Ahmad Mustaffa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 2, 2024 through January 2, 2028.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHICAGO, IL 60647
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ezza Melina Ahmad Mustaffa's NPI number?
The NPI number for Ezza Melina Ahmad Mustaffa is 1669029542. It was assigned to this individual provider in the NPPES registry on August 24, 2019.
Where is Ezza Melina Ahmad Mustaffa located?
Ezza Melina Ahmad Mustaffa practices at 2045 W North Ave Ste 2B, Chicago, IL 60647. The listed phone number is (773) 249-2921.
What is Ezza Melina Ahmad Mustaffa's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ezza Melina Ahmad Mustaffa enrolled in Medicare?
No. Ezza Melina Ahmad Mustaffa has opted out of Medicare through January 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ezza Melina Ahmad Mustaffa was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
